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目的诊断研究胃肠道间质瘤的CT应用表现,分析探讨CT监测对临床治疗肠胃道间质瘤的诊断价值[1]。方法采取回顾性分析通过手术案例确诊的80例肠胃道间质瘤患者的CT以及临床治疗资料。结果经过确诊的80例肠胃道间质瘤中,良性25例,交界性与恶性55例。有54例于胃部发生,6例发生于直肠,20例发生于小肠。肿块横径在3～20cm之间,形状包括圆形、分叶形及类圆形。此次患者案例进行手术前诊断,显示良性恶性准确率86%(44/49),诊断有无转移符合率94%(23/24)[2]。结论 CT检查比较清晰的显示肿瘤部位、形态大小、内部结构特征及同邻近心脏器官关系,及时对转移情况进行分析。CT检查对肠胃道间质瘤诊断有关键性的术前价值,由于缺少特异性诊断,现如今还需要对患者手术病理进行严格的检查和确诊。
Objective To study the clinical application of CT in the diagnosis of gastrointestinal stromal tumors and to analyze the value of CT in the diagnosis and treatment of gastrointestinal stromal tumors [1]. Methods A retrospective analysis of 80 cases of gastrointestinal stromal tumors confirmed by surgery in patients with CT and clinical data. Results 80 cases of gastrointestinal stromal tumors confirmed, 25 cases of benign, borderline and malignant 55 cases. 54 cases occurred in the stomach, 6 cases occurred in the rectum, 20 cases occurred in the small intestine. Mass transverse diameter of 3 ~ 20cm between the shape, including round, lobular and similar round. The patient’s case was diagnosed preoperatively, showing 86% (44/49) of the patients with benign and malignant malignancies and 94% (23/24) of the patients with confirmed metastases. [2] Conclusion The CT examination shows the location of the tumor, the size of the tumor, the internal structure and the relationship with the adjacent heart organs. The metastasis of the tumor is analyzed in time. CT examination of gastrointestinal stromal tumors diagnosis of the key preoperative value, due to the lack of specific diagnosis, and now also need to conduct strict examination of patients with surgical pathology and confirmed.